| NPI | 1649247388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO R4AD5) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KS 0416820) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-01-18 |