| NPI | 1790732543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C36967) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA C36967) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-09 |