| NPI | 1447235965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 28721) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 236787) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-48303) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 74120) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2019-0048) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-04-22 |