| NPI | 1255378949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 047327) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 32331) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-10-02 |