| NPI | 1740260843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 218981) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 041203) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2015-02-06 |