| NPI | 1558338343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME-0069707) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-19089) |
| 207R00000X Internal Medicine (Licence: FL ME69707) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME69707) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MT 115834) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2025-09-05 |