| NPI | 1578536116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 83802) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2012003326) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2024-03-05 |