| NPI | 1770572315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 51036) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 51036) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2011-05-24 |