| NPI | 1578592994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 57778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD38696) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-03-04 |