| NPI | 1093718298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME0009931) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 009609) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-05-22 |