| NPI | 1508069725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2011-0240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2011-0242) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-05-29 |