| NPI | 1801876008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 234495) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 048509) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-01-11 |