| NPI | 1730468570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 36627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060198) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-04-06 |