| NPI | 1124224571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C141457) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 60300) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-04-07 |