| NPI | 1063440451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 053562) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 53562) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-06-01 |