| NPI | 1982087391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A16546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315072508) |
| 207R00000X Internal Medicine (Licence: MI 5101022112) | |
| 207R00000X Internal Medicine (Licence: CA 20A16546) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-07-28 |