| NPI | 1194991026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 81548) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME102226) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A81604) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-08-29 |