| NPI | 1003023581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME104667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P 18943) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-11-18 |