| NPI | 1013905751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 40073) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 40073) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-09-06 |