| NPI | 1144482597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME111887) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY TP120) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-02-01 |