| NPI | 1932553641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 289963) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 289963) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-03-15 |