| NPI | 1932337060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 55306) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 45192) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 33503) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2022-09-15 |