| NPI | 1871013789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 2193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 2193) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA DO-06443) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-04-03 |