| NPI | 1336349463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 45993) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: UT 8232767-8905) |
| 207RN0300X Internal Medicine Nephrology (Licence: NM 2012-0087) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-06-26 |