| NPI | 1104083815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-45987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45987) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A111898) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-03-07 |