| NPI | 1033614102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 92421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 92421) |
| 207R00000X Internal Medicine (Licence: MD D91517) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-06-17 |