| NPI | 1497097695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 63542) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 63542) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 70916) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-10-27 |