| NPI | 1932300845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101259389) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0069652) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-08-22 |