| NPI | 1891748547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 21122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47349) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-07-16 |