| NPI | 1891709242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 49922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 49922) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-11-12 |