| NPI | 1710926605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME104708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 17497) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-12-07 |