| NPI | 1881884179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D90524) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 277218) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-01-13 |