| NPI | 1316902943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 054171) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 28265) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-06-08 |