| NPI | 1881009157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: UT 12240898-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065612) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2021-05-27 |