| NPI | 1831145580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 37200) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 37200) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |