| NPI | 1194740498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 19370) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OK 19370) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 19370) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-03-27 |