| NPI | 1700268224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301509597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-16144) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ID M-16144) | |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2024-01-23 |