| NPI | 1508976259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME107230) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 019494) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-06-26 |