| NPI | 1588995807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301102228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54328) |
| 207R00000X Internal Medicine (Licence: IL 036124125) | |
| 207R00000X Internal Medicine (Licence: MI 4301102228) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2019-05-26 |