| NPI | 1619045457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230393) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 230393) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-04-20 |