| NPI | 1720010051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2007021695) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME92359) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-07-03 |