| NPI | 1265435564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 037953) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 037953) |
| 174400000X Specialist (Licence: SC 15425) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 15425) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2012-08-22 |