| NPI | 1083752737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 061032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430909) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 31192) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-05-28 |