| NPI | 1063508851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD038884) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A61297) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-03-08 |