| NPI | 1407843204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 36145) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WY 6029A) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2022-12-06 |