| NPI | 1174850937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 108692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME108692) |
| 207R00000X Internal Medicine (Licence: FL ME 108692) | |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2023-08-18 |