| NPI | 1578899282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-02226) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 195405) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2018-11-19 |