| NPI | 1982712840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 303702) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC TL28267) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-10-13 |