| NPI | 1699773663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: DE C10005608) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MD D0057385) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2021-06-17 |