| NPI | 1538397807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 52383) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME131121) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2019-04-30 |