| NPI | 1922191022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM 98-141) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 00024393) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-07-12 |