| NPI | 1568440584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD22969) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-20801) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2023-07-12 |