| NPI | 1568677755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 58962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087606) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 57466-20) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-09-15 |