| NPI | 1528140019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 55601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.085338) |
| 207R00000X Internal Medicine (Licence: MN 55601) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-04-20 |