| NPI | 1912559691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 59321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074501) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-06-25 |