| NPI | 1740462431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 40440) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40440) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2023-12-04 |