| NPI | 1811969843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 50061) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 44808) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2012-06-12 |