| NPI | 1437554250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 80455) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A143245) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-01-11 |