| NPI | 1093713422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101254709) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA G36057) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 45774) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2014-04-01 |