| NPI | 1881942902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 81744) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 47887) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2022-10-31 |