| NPI | 1144394883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 045157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 045057) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-10-28 |