| NPI | 1639469661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 78221) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A1302967) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-11-05 |