| NPI | 1649534918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101257251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101257251) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2024-09-29 |