| NPI | 1649273327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME76760) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.22503) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2021-12-28 |