| NPI | 1912183179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2009-01070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235462) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 059062) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2011-11-29 |