| NPI | 1275685638 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA A92267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92267) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-11-15 |