| NPI | 1053386169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 43640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47804) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-09-03 |