| NPI | 1720474109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 86669-020) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD27640) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2025-12-19 |