| NPI | 1275766396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D77622) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD20786) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 23889) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2021-05-25 |