| NPI | 1447242680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 15619) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 9905) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |