| NPI | 1669435988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME54800) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2022-11-03 |