| NPI | 1295950129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 40623) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01049032A) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-12-05 |