| NPI | 1124078332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 70714) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301053592) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 1717-320) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-04-08 |