| NPI | 1932485604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 248627) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA ML60664040) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2016-08-25 |