| NPI | 1528059003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 38000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 035747) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-03-05 |