| NPI | 1093077604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CO DR0058066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:061464) |
| 207RN0300X Internal Medicine Nephrology (Licence: IL 036136050) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2017-06-20 |