| NPI | 1982654851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 49218) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD37035) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 72900) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-01-17 |