| NPI | 1699927244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A113054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A113054) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301108816) | |
| 207R00000X Internal Medicine (Licence: MI 4301108816) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2025-01-17 |