| NPI | 1386602878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D01889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D01889) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D01889) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-02-05 |