| NPI | 1083690465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 24016) |
| Additional Taxonomies | 1744G0900X Specialist, Graphics Designer (Licence: AL 24016) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2015-08-12 |