| NPI | 1164672424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME149783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-053272) |
| 207R00000X Internal Medicine (Licence: MA 242726) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-07-07 |