| NPI | 1164400263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A45478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A45478) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-10-24 |