| NPI | 1720081490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 10272) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA C51434) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-01-02 |