| NPI | 1225031842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 069669) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 32249) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 200700261) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC tl29642) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.076676) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2014-03-17 |