| NPI | 1700098068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2007-01353) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101246287) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-09-11 |