| NPI | 1326014028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 23472) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SD 5126) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 36425) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-01-29 |