| NPI | 1255581641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01076406A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236564) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 69164) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 49452) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-10-25 |