| NPI | 1598848657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 37046) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD073283L) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-10-22 |