| NPI | 1962463315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 47620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301072462) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301072462) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-11-04 |