| NPI | 1710032255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2024-03562) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 43892) |
| 207R00000X Internal Medicine (Licence: NC 2024-03562) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-01-16 |