| NPI | 1952392722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 12920) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 036632) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-11-22 |