| NPI | 1982693719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME32551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME32551) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-03-02 |