| NPI | 1447489000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 65819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446127) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 65819) | |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2022-08-29 |