| NPI | 1255629846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A136945) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ID M-12535) |
| 207R00000X Internal Medicine (Licence: ID MRM-1270) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2020-06-02 |