| NPI | 1770713257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 27333) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-43541) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-07-26 |