| NPI | 1134534571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A176909) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: PA MD468314) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-07-06 |