| NPI | 1861562993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL MD123481) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 21564) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-05-23 |