| NPI | 1396035341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO CDRH.0057422) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NV 18814) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ID MC-0199) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: UT 11249743-1205) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-04-26 |