| NPI | 1205314036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 81384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8221) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-07-27 |