| NPI | 1942273602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101246729) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 47066) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-09-02 |