| NPI | 1649216904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 20638) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 020638) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA 20638) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-05-09 |