| NPI | 1801041041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 49285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A117175) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2016-05-30 |