| NPI | 1831258698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 39862) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 28009) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-03-21 |