| NPI | 1699730341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101233036) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 200300471) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-06-03 |