| NPI | 1659399822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 67433-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115581) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-10-13 |