| NPI | 1578058418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 81087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071816) |
| 207R00000X Internal Medicine (Licence: IL 036155544) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036155544) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-06-23 |