| NPI | 1730381252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC 35390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049961) |
| 207RN0300X Internal Medicine Nephrology (Licence: CT 049961) | |
| 207RH0005X Internal Medicine Hypertension Specialist (Licence: CT 049961) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-08-19 |