| NPI | 1992924443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 21505) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 1732) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-05-08 |