| NPI | 1043405731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2017038567) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 066958) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2021-01-19 |