| NPI | 1255582540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A105314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105314) |
| 207R00000X Internal Medicine (Licence: FL ME111618) | |
| Enumeration Date | 2008-10-05 |
| Last Update Date | 2013-08-20 |