| NPI | 1902018294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A11757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R757) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-06-19 |