| NPI | 1629053848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD035468) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD MD0048103) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |