| NPI | 1386631992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 6223) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD6223) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-08-15 |