| NPI | 1902986987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 58087) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SD 5304) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-02-09 |