| NPI | 1235288705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 83051) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 061483) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-11-27 |