| NPI | 1093792269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 27904) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 30826) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 20419) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME60884) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-18 |