| NPI | 1518997691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: ND 8263) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C55428) |
| 207RN0300X Internal Medicine Nephrology (Licence: MN 42560) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-04-12 |