| NPI | 1912920992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 30528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228372) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-05-25 |