| NPI | 1730183401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA 024216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 24216) |
| 207RN0300X Internal Medicine Nephrology (Licence: FL ME147819) | |
| 207RN0300X Internal Medicine Nephrology (Licence: GA 87357) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MS 27111) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-11-30 |