| NPI | 1326263955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME97893) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 056053) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-03-31 |