| NPI | 1942308101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E8397) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 20865) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-04-16 |