| NPI | 1154555704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 61865) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 251021) |
| 207R00000X Internal Medicine (Licence: MA 251021) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 251021) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-05-29 |