| NPI | 1861453060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 107965) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0425593) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |