| NPI | 1356571079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 071555) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.32157) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2014-07-01 |