| NPI | 1013399120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0064254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10293) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-07-17 |