| NPI | 1093121386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A17240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021157) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2021-08-10 |