| NPI | 1861751703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN 55634) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: PA MD470581) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2023-02-24 |