| NPI | 1871583997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD15121) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 220678) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 50140) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2016-09-14 |