| NPI | 1396704425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-44623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44623) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX F3245) | |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2018-03-17 |