| NPI | 1710391677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 285743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259939) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-05-06 |