| NPI | 1689839441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A113430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A113430) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A113430) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2017-10-09 |