| NPI | 1144409483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 0058559) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD155191) |
| 207RN0300X Internal Medicine, Nephrology (Licence: UT 60492261205) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2019-10-08 |