| NPI | 1720236904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2012003464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012003464) |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2022-09-15 |