| NPI | 1780748038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101232596) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: DC md039242) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-12-07 |