| NPI | 1184618761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR md26951) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A71244) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2021-01-29 |