| NPI | 1528035250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 43174) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 43174) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ME MD25265) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2022-02-07 |