| NPI | 1932320066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 25298) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-38484) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NE 25298) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-07-26 |