| NPI | 1902175649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 45944) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME139158) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2024-12-09 |