| NPI | 1932367117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD175504) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-20802) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2021-06-30 |