| NPI | 1053931980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 3020) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 9543) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA DO-06978) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-06-29 |