| NPI | 1568637627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME157682) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 63584) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-03-07 |