| NPI | 1710159975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 62248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12907) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND 12907) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-10-22 |