| NPI | 1891780409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: DE C1-0003838) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MD D0054297) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2011-11-22 |