| NPI | 1306383104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 64701) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 1003) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-08-12 |