| NPI | 1639128515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 10263) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 22835) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA G28475) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 41875) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 055749) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2009-03-12 |