| NPI | 1669406237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 02003131A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 200600754) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-11-19 |