| NPI | 1912913484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M4410) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M4410) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-03-25 |