| NPI | 1760837165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 201900335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-00335) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-09-20 |