| NPI | 1104833698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA 047425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047425) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 047425) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-11-23 |