| NPI | 1669458113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000057227) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME36307) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2021-11-09 |