| NPI | 1053323527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL NE105493) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD25328) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD25328) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-03-02 |