| NPI | 1346431095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME101022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD034721) |
| 207RN0300X Internal Medicine, Nephrology (Licence: DC MD034721) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2023-01-05 |