| NPI | 1811349095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2024-01428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-01428) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2025-01-23 |