| NPI | 1679739411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME112057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007006280) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2016-05-03 |