| NPI | 1396804662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OK 33459) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: MO 2004009683) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-05-01 |