| NPI | 1811251291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2021-00081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 32955) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-08-10 |