| NPI | 1255313441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CO 37524) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WY 13028C) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-04-04 |