| NPI | 1912909540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI JT406424) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO 49014) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-02-26 |