| NPI | 1518151620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101242405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56665) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2016-09-08 |