| NPI | 1578761003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0056920) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: UT 10354729-1205) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-04-22 |