| NPI | 1609286087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 008608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2387) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND PT15895) | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2020-07-16 |