| NPI | 1770895419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 72823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243920) |
| 207R00000X Internal Medicine (Licence: GA 72823) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-01-26 |