| NPI | 1487609236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0102201420) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AK 7137) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI DOS-1270) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-08-14 |