| NPI | 1073218053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-159662) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ R79978) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2025-09-18 |