| NPI | 1528053824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 11617R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 11617R) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2009-11-17 |