| NPI | 1992981153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 48209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426357) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A104090) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2020-08-19 |