| NPI | 1508853615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DE C1-0006071) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0056782) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2021-06-17 |