| NPI | 1548426398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME117511) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 12105) |
| 207R00000X Internal Medicine (Licence: MO 2006011979) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-10-13 |