| NPI | 1023027307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 30876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10376) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NV 10376) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-09-27 |