| NPI | 1598755993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 55785) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 055785) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-10-23 |