| NPI | 1245563436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD448536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 191956) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101253572) | |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2016-02-26 |