| NPI | 1083808695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101252262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30536) |
| 207RN0300X Internal Medicine Nephrology (Licence: MD MT187918) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-08-15 |