| NPI | 1558484857 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A99209) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99209) | 
| Enumeration Date | 2007-04-09 | 
| Last Update Date | 2023-07-05 |