| NPI | 1104817808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 48811) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 23383) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-01-20 |