| NPI | 1699122663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 292000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267609) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-05-16 |