| NPI | 1396741526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME78033) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME78033) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2025-07-15 |