| NPI | 1386778199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WV 33544) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA08265700) |
| 207RN0300X Internal Medicine Nephrology (Licence: TN 56483) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-06-13 |