| NPI | 1053377630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15166) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 95-00544) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 19319) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME65416) | |
| 207R00000X Internal Medicine (Licence: NC 9500544) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2015-12-30 |