| NPI | 1942418017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C143015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD063153L) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD063153L) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-02-19 |