| NPI | 1346465838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 250130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250130) |
| 207R00000X Internal Medicine (Licence: CA A108255) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-12-17 |