| NPI | 1740808971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2023048283) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT220188) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-08-31 |