| NPI | 1770543217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 48058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0062807) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-09-11 |