| NPI | 1609067537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A118650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232797) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-09-12 |