| NPI | 1760986830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL OS17926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3577) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-07-02 |