| NPI | 1912984923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 11282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45781) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2022-03-29 |