| NPI | 1770816118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101253245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448349) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2024-09-20 |