| NPI | 1619167202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0066394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 10655) |
| 207R00000X Internal Medicine (Licence: MD D0066394) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-06-29 |