| NPI | 1023163573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101241324) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 26276) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2007-00562) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-06-03 |