| NPI | 1073936274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 61922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52461) |
| 207R00000X Internal Medicine (Licence: WI 61922) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 52461) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2018-12-18 |