| NPI | 1437123528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN 34688) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: GA 054393) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-05-28 |