| NPI | 1962854307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE CP1322) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NH 21150) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VT 042-0017425) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-54371) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-03-14 |