| NPI | 1104812437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 53587) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 25539) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2022-12-16 |