| NPI | 1417934738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 35558) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA DO-03167) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-11 |