| NPI | 1104928571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 40121) |
| Additional Taxonomies | 174400000X Specialist (Licence: GU M001478) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2012-05-25 |