| NPI | 1477961563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME126651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 126651) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-03-27 |