| NPI | 1689670655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0061666) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD56380) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-05-16 |