| NPI | 1275548943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 57397) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NV 11806) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-09-21 |