| NPI | 1093096406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 14030) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301104727) |
| 207R00000X Internal Medicine (Licence: TX BP10040884) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 60976) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2016-10-17 |