| NPI | 1891020871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 48174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 189769) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2018-01-29 |