| NPI | 1477783470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 52175) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 104437) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2012-11-06 |