| NPI | 1972505584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI RP047354) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ID M-11205) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301047354) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 54729) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2017-00405) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 40429) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD463387) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME118456) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 48234) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000053388) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD170613) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2019-11-26 |