| NPI | 1083787253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2003026613) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 66487) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-07-13 |