| NPI | 1083886105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 322457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-124307) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036124307) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2020-07-22 |