| NPI | 1578543047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2012-01882) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 064312) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-04-16 |