| NPI | 1083685093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 41649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 41649) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2021-02-03 |