| NPI | 1033103114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD 026437) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD12866) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2013-10-03 |