| NPI | 1821657479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 77203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11646) |
| 207R00000X Internal Medicine (Licence: MN 32562) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-07-16 |