| NPI | 1356305932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 77299) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 4724-320) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-09-24 |