| NPI | 1346387388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 29582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44735) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2010-01400) | |
| 207R00000X Internal Medicine (Licence: SC 29582) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-11-30 |