| NPI | 1588087142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C159407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C159407) |
| 207R00000X Internal Medicine (Licence: GA 072037) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2024-04-19 |