| NPI | 1467773598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A124674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250910) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A124674) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2024-04-19 |