| NPI | 1124225594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: RI MD13046) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 241535) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2009-10-29 |