| NPI | 1225021520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 42844) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 15406) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-01-06 |