| NPI | 1912336199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D93619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122471) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 60348) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2024-09-24 |