| NPI | 1720298169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 79001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 79001) |
| 207R00000X Internal Medicine (Licence: IA R7868) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-04-19 |