| NPI | 1164469862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301076020) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301076020) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-01-30 |