| NPI | 1639420441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 308087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME129493) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-06-28 |