| NPI | 1912008087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A78544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78544) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA a78544) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-04-22 |