| NPI | 1922290675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME101869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md429484) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2017-01-31 |