| NPI | 1124093083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0020752) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD4505) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-12-03 |