| NPI | 1912984790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 034079) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 30727) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2009-12-30 |