| NPI | 1669993929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 82368) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-47183) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-11-30 |