| NPI | 1265587075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A11778) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 5399) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-04-26 |