| NPI | 1154551968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 918) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 47633) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 67919) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036134803) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2021-02-16 |