| NPI | 1215958806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 38914) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VT 0420011657) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-06-13 |