| NPI | 1235450602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME154401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243685) |
| 207RN0300X Internal Medicine Nephrology (Licence: WI 71258) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MN 106966) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MN 56831) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2022-04-14 |