| NPI | 1972947877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 67120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058582) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 70045-20) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-07-02 |