| NPI | 1124258843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 078100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254349) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2020-04-02 |