| NPI | 1932105517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101049860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 010149860) |
| 174400000X Specialist (Licence: NC 9901131) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-04-16 |