| NPI | 1720373335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.206275) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 23305) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-06-11 |