| NPI | 1386636074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G52012) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 18599) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2018-08-09 |