| NPI | 1033147442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 08327) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 10165R) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-01-28 |