| NPI | 1699897579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME134640) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA a102341) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 50724) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-03-17 |