| NPI | 1790895597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 116541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 116541) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-08-22 |