| NPI | 1053728857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 274026) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101266022) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2026-04-30 |