| NPI | 1134106925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 043510) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 13568) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-11-05 |