| NPI | 1447413984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101258128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053471) |
| 207R00000X Internal Medicine (Licence: MI 4301100124) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2015-06-04 |