| NPI | 1861405185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301085025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085025) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301085025) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-03-05 |