| NPI | 1215040530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 4536) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 31992) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |