| NPI | 1376545566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME75791) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.18092) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2021-12-28 |