| NPI | 1578527867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 11596) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: GA 025600) |
| 207RN0300X Internal Medicine Nephrology (Licence: GA 025600) | |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: SC 11596) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-08-18 |