| NPI | 1053627570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301099929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055639) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2020-09-21 |