| NPI | 1285745752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101235455) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 010123545) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-28 |