| NPI | 1114248424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 56833) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 24590) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-09-30 |