| NPI | 1043328099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 61052) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 18867) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-11-15 |