| NPI | 1487681169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.07559R) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 32144) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101044604) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-02-21 |