| NPI | 1962748541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 50221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD043042) |
| 207R00000X Internal Medicine (Licence: KY 50221) | |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2024-09-10 |