| NPI | 1811950132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL 57329) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME57329) |
| 207RN0300X Internal Medicine Nephrology (Licence: FL MR57329) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2019-03-21 |