| NPI | 1447256862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 26508) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 035642) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-05-14 |