| NPI | 1730150459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 9501284) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 95-01284) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-04-25 |