| NPI | 1235249301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 84380) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC DO322) |
| 207R00000X Internal Medicine (Licence: IN 02001914A) | |
| 207R00000X Internal Medicine (Licence: KY 02410) | |
| 207R00000X Internal Medicine (Licence: GA 84380) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 34005598S) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-30 |