| NPI | 1659574218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008025169) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: OK 4250) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-12-10 |