| NPI | 1396290763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME1252519) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME EC161091) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-09-15 |