| NPI | 1932104023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101052321) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 18529) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-03-20 |