| NPI | 1073555983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 35099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 21213) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 44359) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-09-06 |