| NPI | 1326145038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0049789) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 38486) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2019-10-08 |