| NPI | 1447487152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 66874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056345) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 65671) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-03-08 |