| NPI | 1043219389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 44054) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 28553) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2004001644) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-09-10 |