| NPI | 1720012883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A106754) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 48567) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-10-24 |