| NPI | 1407801913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NH 11204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 46888-020) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-09-08 |