| NPI | 1609858919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IA 27143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 27143) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-12-18 |