| NPI | 1982634580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 27258) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 35380) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-12-21 |