| NPI | 1144410507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101244569) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 21495) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 47082) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-04-12 |