| NPI | 1700244639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101263338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10066115) |
| 207R00000X Internal Medicine (Licence: VA 0101263338) | |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2021-07-27 |