| NPI | 1386964096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A164944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.143009) |
| 207R00000X Internal Medicine (Licence: CA A164944) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.143009) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-01-23 |