NPI | 1770016198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD209311) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61047881) |
207RN0300X Internal Medicine, Nephrology (Licence: HI MD-24778) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-09-25 |