| NPI | 1679765986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090529) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 43010090529) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2021-06-21 |