| NPI | 1659635100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AK 122759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043723) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2017-07-10 |