| NPI | 1295170496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 34999) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 18364) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-12-06 |