| NPI | 1073654570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A111164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233518) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2016-08-02 |