| NPI | 1366542227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 25241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 25241) |
| 207RN0300X Internal Medicine Nephrology (Licence: ND LT15265) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-08-01 |