| NPI | 1497744916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 75623) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 3790-320) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA C156845) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-01-18 |