| NPI | 1023190808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A99155) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A99155) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-09-08 |