| NPI | 1134206741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD31979) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0055120) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-04-21 |