| NPI | 1831283126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO CDRH.0062225) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D65002) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME119770) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-87730) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0062225) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-06-12 |