| NPI | 1306873476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO 47191) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 24449) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-04-22 |