| NPI | 1417395609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV DO2353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0970) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2024-02-26 |