| NPI | 1164628608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD180553) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME98862) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301085436) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-11-27 |