| NPI | 1720606510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL 36619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315216915) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-06-14 |