| NPI | 1700236072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 2020039264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020039264) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-25 |