| NPI | 1528059177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME50623) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME50623) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-11-09 |