| NPI | 1649292640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VI 1915) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 2001-296) |
| 207R00000X Internal Medicine (Licence: VI 1915) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-12-03 |