| NPI | 1104270305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA 20A16166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 16166) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-09-02 |