| NPI | 1073742953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.30540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30540) |
| 207P00000X Emergency Medicine (Licence: AL MD.30540) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2017-03-08 |