| NPI | 1871545863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101224727) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 9401025) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-11-09 |