| NPI | 1770686669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301056707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071538) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-02-14 |