| NPI | 1912975236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME92847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME92847) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2021-11-30 |