| NPI | 1780831529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 74040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092257) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 47731) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2023-10-17 |