| NPI | 1326059007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0065947) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME0065947) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-09-29 |