| NPI | 1710086558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WY 8158A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0068391) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-05-04 |