| NPI | 1053388710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 222603) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2009-00334) |
| 207RN0300X Internal Medicine, Nephrology (Licence: DC MD036700) | |
| 207R00000X Internal Medicine (Licence: MA 227764) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-07-01 |