| NPI | 1912903121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 12536) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 025685) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2010-05-28 |