| NPI | 1275589509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301070207) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SD 7062) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-02-07 |