| NPI | 1558303347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 58007) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 43405) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-01-16 |