| NPI | 1346485877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME107585) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL TRN12560) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2010-08-03 |