| NPI | 1336141886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0036517) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: FL ME0036517) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |