| NPI | 1891827531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 28415) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-103764) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-07-07 |