| NPI | 1508122516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME140231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255907) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101255907) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-08-18 |