| NPI | 1235264235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 00A30713) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 00A30713) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-02-18 |