| NPI | 1467456244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 43728) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 35599) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-02-02 |