| NPI | 1700904000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MD D0001228) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: HI MD-11413) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |