| NPI | 1598047169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 75390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249104) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 259952) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-10-11 |