| NPI | 1285914531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0065723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2016-0482) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2021-03-25 |