| NPI | 1114979234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101054292) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 200201306) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-06-06 |