| NPI | 1376005835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301507578) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME164998) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-04-01 |