| NPI | 1891924254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME107433) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IL 036121202) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-02-10 |