| NPI | 1114045184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NH 15305) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME 018840) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-03-20 |