| NPI | 1740447820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101243547) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 71038) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2024-01-10 |