| NPI | 1760620280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2017-01641) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E7031) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0056912) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2018-03-17 |