| NPI | 1124287131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NE 25014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.116846) |
| 207RN0300X Internal Medicine Nephrology (Licence: IA 38256) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-04-10 |