| NPI | 1154717775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-126508) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AK 172648) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-08-24 |