| NPI | 1912403403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-51564) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 68754) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-10-25 |