| NPI | 1942274352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 49130) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 45266) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |