| NPI | 1467454009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MI KB010619) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CO 48692) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-02-17 |