| NPI | 1760511646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2005-01698) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 50134) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-12-27 |