| NPI | 1790815926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2014-0161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-0161) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-04-10 |