| NPI | 1528052677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI 14468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01056415A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 257637) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2014-10-06 |