| NPI | 1922065341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME102463) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 43724) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2010-10-18 |