| NPI | 1932276144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A7475) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GU DO-0129) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-01-15 |