| NPI | 1114214301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME145136) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-38562) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-10-22 |