| NPI | 1295780047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101045549) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA G34186) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-01-11 |