| NPI | 1891059408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 60017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN17468) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-08-25 |