| NPI | 1033230446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000044317) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 65873) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-08-08 |