| NPI | 1760747430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 30294) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MS 30294) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-08-25 |