| NPI | 1346202173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 049906) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL MFC1660) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX 40469) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-07-10 |