| NPI | 1477513067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 063719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME89487) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME89487) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2012-10-25 |