| NPI | 1629056460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 35551) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD22973) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-07-30 |