| NPI | 1548259146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0036460) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 21663) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2010-06-11 |