| NPI | 1457363475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 27371) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 27371) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-12-10 |