| NPI | 1205043023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A135976) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 29945) |
| 207R00000X Internal Medicine (Licence: MI L917191) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-04-13 |