| NPI | 1427017185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 257552) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD071657L) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-11-22 |