| NPI | 1982876157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301082092) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: MI 4301082092) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 49048) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2015-10-27 |