| NPI | 1659351328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 28458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234152) |
| 207R00000X Internal Medicine (Licence: MN 52504) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA MD44650) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-07-26 |