| NPI | 1568425106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2022-02825) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 24986) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-03-09 |