| NPI | 1407855968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 23953) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 23953) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-08-12 |