| NPI | 1720057714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 37342) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E3707) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 18029) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-08-12 |