| NPI | 1356337679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 038662) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 18139) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2022-12-16 |