| NPI | 1689672156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 09811) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS MS09811) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-12-09 |