| NPI | 1962485490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: RI MD4717) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MA 55697) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2008-01-16 |