| NPI | 1679096838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101273961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272253) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |