| NPI | 1659544138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 34303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34303) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AL MD34303) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2024-04-23 |