| NPI | 1063406502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 025668) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 25668) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2009-01-07 |