| NPI | 1013996172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G57538) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA G57538) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2008-04-22 |