| NPI | 1861406258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 113795) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-30664) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-05-04 |