| NPI | 1518123355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 61834) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 60152) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-07-21 |