| NPI | 1659453223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD25413) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042-0009311) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-12-30 |