| NPI | 1417171307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC ll31177) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 063355) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-06-08 |