| NPI | 1245231109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: DC MD25244) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: DC 25244) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-03-15 |