| NPI | 1912075144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 63095) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 34419) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-11-21 |