| NPI | 1396742268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2004-0712) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 29160) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01040353A) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2007022051) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2020-02-11 |