| NPI | 1528629052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME154270) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 33818) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-06-13 |