| NPI | 1104235571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 70941) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME130923) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2022-07-25 |