| NPI | 1003842378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 19092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19092) |
| 207R00000X Internal Medicine (Licence: TX M6060) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-05-22 |