| NPI | 1255536181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD209095) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME115421) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60279943) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-12-19 |