| NPI | 1598700601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 42642-020) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 42642-020) |
| 208VP0000X (Licence: WI 42642-020) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-09-20 |