| NPI | 1841240421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2002006960) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-3226) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-107478) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-04-06 |