| NPI | 1447332945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 2007018015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004014110) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-02-10 |