| NPI | 1396972246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL OS15121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016250) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-08-28 |