| NPI | 1265621411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME159810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43998) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2023-12-05 |