| NPI | 1760521769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 52731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0454) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 38308) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 52832) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-04-27 |