| NPI | 1841296514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 028761) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 28761) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-03-11 |