| NPI | 1578779831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL me102550) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2009015711) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-12-14 |