| NPI | 1912967118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 34708) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 47156 02) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2021-04-06 |