| NPI | 1760005706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 338014) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2020013965) |
| 207R00000X Internal Medicine (Licence: LA 338014) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-03-04 |