| NPI | 1477755031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096740) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301096740) |
| 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: MI 4301096740) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-10-11 |