| NPI | 1730177429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME88357) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.30546) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2022-07-21 |