| NPI | 1396290888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 70078) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 32180) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-01-12 |