| NPI | 1821301144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME140234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD20565) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ME MD20565) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2019-10-18 |