| NPI | 1134340573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2012-0542) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A105870) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-23 |