| NPI | 1790104115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 273786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 8403) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-08-31 |