| NPI | 1013973213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2010032833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47257) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 51102-20) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 47257) | |
| 207R00000X Internal Medicine (Licence: MO 2010032833) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-03-11 |