| NPI | 1609242288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 21298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21298) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2022-05-03 |