| NPI | 1639120389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO R9D58) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD018849E) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-074275) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D0021892) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR N-8307) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-10-20 |