| NPI | 1275508962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 203460) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E3271) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 20851) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-09-02 |