| NPI | 1912435736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 290738) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 064396) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2023-02-03 |