| NPI | 1699731893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0013976) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 44854) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-03-17 |