| NPI | 1083110761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301514373) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-165991) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-11-26 |