| NPI | 1841368982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2021-02981) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101245881) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-10-11 |