| NPI | 1578025789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 33409) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 33147) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-08-05 |