| NPI | 1184622243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 32130) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 32130) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-06-27 |