| NPI | 1013984731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO R9E62MO) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KS 0422266KS) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-01-03 |