| NPI | 1801158241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 71702) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 135636) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-08-30 |