| NPI | 1154310951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C53314) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 103776) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2024-04-23 |