| NPI | 1912995713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR C6617) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 17047) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2016-11-23 |