| NPI | 1811663164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 76330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 76330) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-09-30 |