| NPI | 1619195732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 060990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 28301) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E8554) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-04-09 |