| NPI | 1558325944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 74421) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A62826) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-07-23 |