| NPI | 1013146430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 56207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39951) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 58950) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-09-09 |