| NPI | 1043898604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 6878) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A22577) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-08-24 |