| NPI | 1710266259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-00944) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0116030828) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-07-25 |