| NPI | 1548671845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN MD0000057288) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WI 65929-20) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2018-08-29 |