| NPI | 1043283997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C136632) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD062123L) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-19 |