| NPI | 1821587353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC LL85980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215330) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-07-22 |