| NPI | 1265414577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 219913) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 219913) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-04-09 |