| NPI | 1114044468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 207816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183379) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-12-11 |