| NPI | 1285048256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 67537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7232) |
| 207R00000X Internal Medicine (Licence: NE 30286) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-08-11 |