| NPI | 1700327301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AK 15429) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 31164) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-07-19 |