| NPI | 1386618304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C42025) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA C42025) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |