| NPI | 1588649255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 11294) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 11294) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-03-16 |