| NPI | 1063602449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 30121) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 30121) |
| 207R00000X Internal Medicine (Licence: LA MD.200276) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-05-10 |