| NPI | 1871704122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 19222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 19222) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NV 19222) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-04-18 |