| NPI | 1194705434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 057919) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 16000) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 28888) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2017-05-17 |