| NPI | 1386625481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 42910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 40852) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 40852) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-11-12 |