| NPI | 1033466560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI 207RN0300X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 793990) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-03-16 |