| NPI | 1164465639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101-048420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101-048420) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-02-13 |