| NPI | 1467426221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD19916)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD19916)  | 
| Enumeration Date | 2006-02-16 | 
| Last Update Date | 2015-06-16 |