| NPI | 1992955058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 010220875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54475) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2018-09-13 |