| NPI | 1780633610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WY 12924A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0052036) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-11-11 |