| NPI | 1679666382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD15343) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD15343) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-12-20 |