| NPI | 1295737831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI QK056739) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO 49070) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-02-17 |