| NPI | 1659863124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101277955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215582) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-09-06 |