| NPI | 1053486399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 37317) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD9767) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-03-14 |