| NPI | 1720217177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME138307) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 53095) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-08-28 |