| NPI | 1407042252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-7123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101472) |
| 207R00000X Internal Medicine (Licence: AR E-7123) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2018-01-16 |