| NPI | 1497942866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 59853) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 13858) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-07-16 |