| NPI | 1831279892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D85669) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 043253) | 
| Enumeration Date | 2006-10-16 | 
| Last Update Date | 2018-07-14 |