| NPI | 1043280407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 51352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 8789) |
| 207R00000X Internal Medicine (Licence: MA 155137) | |
| 207R00000X Internal Medicine (Licence: WI 38341) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 155137) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MT 8789) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-04-26 |