| NPI | 1073786794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 47859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 43031) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2016-11-03 |