| NPI | 1497845960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 38318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-4322) |
| 207R00000X Internal Medicine (Licence: IA 38318) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-09-29 |