| NPI | 1659478121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA C147122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004014304) |
| 207R00000X Internal Medicine (Licence: MI 4301092808) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MI 4301092808) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2017-03-03 |