| NPI | 1386635811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 154017) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NH 10003) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-07-21 |