| NPI | 1194780114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AK 4655) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AK 1004693) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-12-16 |