| NPI | 1689869513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD28056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 1999136261) |
| 207R00000X Internal Medicine (Licence: IL 036 116256) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-05-24 |