| NPI | 1790030195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2018009371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018009371) |
| Enumeration Date | 2012-07-21 |
| Last Update Date | 2018-08-23 |