| NPI | 1881629921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101261362) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD067536L) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-10-24 |