| NPI | 1265673453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301101789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101789) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: MI 4301101789) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2015-05-01 |