| NPI | 1053503607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 61261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090355) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 65972) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.098709) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013032860) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2024-03-01 |