| NPI | 1376534305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 39737) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101237891) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-01-28 |