| NPI | 1730355850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 73979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 16643) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2021-02-15 |