| NPI | 1952521585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 73899) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2013-0260) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-11-08 |