| NPI | 1811251721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NH 18869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0057544) |
| 207R00000X Internal Medicine (Licence: IL 125062103) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-07-16 |