| NPI | 1598118820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 17372) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 29618) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 008916) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-10-01 |