| NPI | 1922329754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0102206310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A13439) |
| 207R00000X Internal Medicine (Licence: MI 5101019629) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-10-26 |