| NPI | 1467438200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 24438) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 19190) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-049560) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 30532) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-14 |