| NPI | 1114992153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME87261) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME87261) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-06-29 |