| NPI | 1407840440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME114135) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 9500850) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.31814) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2022-07-21 |