| NPI | 1639384548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 237483) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 046979) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-05-01 |