| NPI | 1669455192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: RI 00502) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 213316) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-11 |