| NPI | 1427187020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME120971) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 41851) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-12-30 |