| NPI | 1932185055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 23810) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 60902) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-02-16 |