| NPI | 1124317540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A162992) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 269918) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2019-10-16 |