| NPI | 1083616270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME89088) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.28993) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-02-01 |