| NPI | 1992808463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 059429) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 17721) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-08-15 |