| NPI | 1245352574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 43064) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT192264) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A112711) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-05-25 |