| NPI | 1992169171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD473697) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA 1992169171) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-08-16 |