| NPI | 1760426068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 22245) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 42343) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-01-07 |