| NPI | 1275890170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 123656) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME123656) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-11-04 |