| NPI | 1457328908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 108088) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KS 0422249) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |