| NPI | 1073505830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 19189) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 31677) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2014-01-29 |