| NPI | 1629303938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013045762) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 31865) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2022-07-21 |