| NPI | 1730184078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 45942) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 34543) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 42771) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-06-13 |