| NPI | 1437243656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101246233) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 37238) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-01-07 |