| NPI | 1063417657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01052588A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01052558) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-02-14 |