| NPI | 1932141538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 30625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220307) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 220307) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME101493) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-06-28 |