| NPI | 1356441836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0072022) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 22445) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2024-05-13 |