| NPI | 1841240231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 27664) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MO 2005012191) |
| 207RN0300X Internal Medicine Nephrology (Licence: GA 065587) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-01-07 |