| NPI | 1720291404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DE C1-0008993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT184883) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-06-17 |