| NPI | 1760820575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 36321) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-53109) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E-10971) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-08-07 |