| NPI | 1114248515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 259429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010017823) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2022-07-21 |