| NPI | 1821172933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD11145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD11145) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 0000011145) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-09-20 |