| NPI | 1932157716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 12522) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 19770) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-12-29 |