| NPI | 1013189174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD14328) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 261074) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2020-05-06 |