| NPI | 1811092711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME 103591) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KY 39949) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-08-02 |