| NPI | 1932305331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 38903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8103) |
| 207R00000X Internal Medicine (Licence: IA 38903) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2017-05-12 |