| NPI | 1194711572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 02395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25054) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-21 |