| NPI | 1013077866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101016246) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 005280) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-01-30 |