| NPI | 1124188263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0065629) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-36854) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX K0855) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-01-14 |