| NPI | 1275830341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME146423) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D80412) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2022-07-21 |