| NPI | 1851506133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0012133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085813) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-07-07 |