| NPI | 1447474697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008034920) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MO 2008034920) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-05-11 |