| NPI | 1679533640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 12557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 12257) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-11-15 |