| NPI | 1215034723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 231370) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 045478) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD427488) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2019-05-16 |