| NPI | 1518252881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 69015) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME119247) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-05-15 |