| NPI | 1780172957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD216721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD216721) |
| 207R00000X Internal Medicine (Licence: MS T-3673) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-12-20 |