| NPI | 1841265253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME108010) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.31562) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2021-12-28 |