| NPI | 1679570709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA MD.023200) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: LA 023200) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2010-04-30 |