| NPI | 1053314302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL OS3923) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL DO.1286) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-03-07 |