| NPI | 1245229384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MA 158795) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: RI MD10460) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2009-12-14 |