| NPI | 1558318881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C38214) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C38214) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-04-11 |