| NPI | 1831322932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-057074) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-50732) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 50743) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-02-29 |