| NPI | 1891962445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 5430) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 54638) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2023-11-20 |