| NPI | 1982833554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NE 27849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6052) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2019-04-10 |