| NPI | 1093900011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MN 50714) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MN 103578) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-07-14 |