| NPI | 1013441468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 85608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A195568) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2026-04-15 |