| NPI | 1952348765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101046873) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: VA 0101046873) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-09-24 |