| NPI | 1679748016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 23758) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 26227) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-07-09 |