| NPI | 1598770091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C52858) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD23005) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-20 |