| NPI | 1780720185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MD D43667) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: DC MD034457) |
| 207RN0300X Internal Medicine Nephrology (Licence: VA 0101055799) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-02-04 |