| NPI | 1992903157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD57499) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 57499) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2025-02-26 |