| NPI | 1700225901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 275560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063445) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-08-08 |