| NPI | 1366657710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL L2794R) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 48415) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-12-22 |