| NPI | 1174686695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME102103) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036111952) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-03 |