| NPI | 1750505913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 60620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-6023) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-01 |