| NPI | 1639185473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.204304) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT181547) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-08-15 |