| NPI | 1154530087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2015-01241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086097) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 32977) | |
| 208000000X Pediatrics (Licence: MI 4301086097) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-04-03 |