| NPI | 1427136332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A78291) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A78291) |
| 174400000X Specialist (Licence: DC MD038954) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-04-30 |