| NPI | 1528012523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101043362) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 28721) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-09 |