| NPI | 1720475783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 29760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 309553) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-12-22 |