| NPI | 1598768020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 34569) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 34569) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2018-06-27 |