| NPI | 1255645446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 24433) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.206335) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-07-02 |