| NPI | 1659356319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 06841) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: AL 6841) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2010-08-10 |