| NPI | 1174533178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 55580) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 040709) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 20740) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-21 |