| NPI | 1487817854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A145695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22784) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A145965) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 22784) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-04-20 |