| NPI | 1811055080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME103955) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WI 51437-20) |
| 207R00000X Internal Medicine (Licence: WI 51437-20) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-19 |