| NPI | 1942620521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101024624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151009808) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2019-06-27 |