| NPI | 1902897788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 045576) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 21755) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-11-22 |