| NPI | 1376504985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 33344) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01045734A) |
| 207R00000X Internal Medicine (Licence: KY 33344) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-09-08 |