| NPI | 1205020294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 261QM1300X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN application submitte) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2014-02-10 |