| NPI | 1073721965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 57054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12304) |
| 207R00000X Internal Medicine (Licence: MA 222076) | |
| 207RN0300X Internal Medicine Nephrology (Licence: ND 12304) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-01-28 |