| NPI | 1487622833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131838) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 12167) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-04-05 |