| NPI | 1932690526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 36103) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-52433) |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2024-01-04 |