| NPI | 1821294661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 18220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007015333) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-11-09 |